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Power Wheelchair Foam Caster Tire, Replacement

North Carolina rates for HCPCS E2389

Power wheelchair accessory, foam caster tire, any size, replacement only, each

Rates data updated July 2026.

Facilitymedian $21 · 10th–90th $2$1000%10%10th90th$21Professionalmedian $22 · 10th–90th $16$220%50%10th$22$1.0$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$22.39
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$21.38
Typical High
$37.15
Medcost
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$19.05
Typical High
$19.05
Medcost
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$22.39
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1.86
Median
$14.13
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$16.60
Typical High
$24.55
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$154.88
Typical High
$154.88